Journal Articles
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Item The heart rate is a non-stationary signal, and its variation can contain indicators of current disease or warnings about impending cardiac diseases. The indicators can be present at all times or can occur at random, during certain intervals of the day. However, to study and pinpoint abnormalities in large quantities of data collected over several hours is strenuous and time consuming. Hence, heart rate variation measurement (instantaneous heart rate against time) has become a popular, non-invasive tool for assessing the autonomic nervous system. Computer-based analytical tools for the in-depth study and classification of data over day-long intervals can be very useful in diagnostics. The paper deals with the classification of cardiac rhythms using an artificial neural network and fuzzy relationships. The results indicate a high level of efficacy of the tools used, with an accuracy level of 80-85%. © IFMBE: 2004.(Classification of cardiac abnormalities using heart rate signals) Acharya, A.U.; Kumar, A.; Subbanna Bhat, P.; Lim, C.M.; Iyengar, S.S.; Kannathal, N.; Krishnan, S.M.2004Item Computational fluid dynamic approach to understand the effect of increasing blockage on wall shear stress and region of rupture in arteries blocked by arthesclerotic plaque(UK Simulation Society Clifton Lane Nottingham NG11 8NS, 2016) Hegde, S.S.; Deb, A.; Nagesh, S.Computational bio-mechanics is developing rapidly as a non-invasive tool to assist the medical fraternity to help in both diagnosis and prognosis of human body related issues such as injuries, cardio-vascular dysfunction, atherosclerotic plaque etc. Any system that would help either properly diagnose such problems or assist prognosis would be a boon to the doctors and medical society in general. This project is an attempt to use numerical analysis techniques; in particular, computational fluid dynamics (CFD) to solve hemodynamics related problems. The mathematical modeling of the blood flow in arteries in the presence of successive blockages has been analyzed using CFD technique. Different cases of blockages in terms of percentages have been modeled to study the effect of blockage on wall shear stress values and also the effect of increase in Reynolds number on wall shear stress values. The concept of fluid structure interaction (FSI) has been used to study the effect of increasing von Mises stress on arteries and to determine the region of rupture in arteries. The simulation results are validated using in vivo measurement data from existing literature. © 2016, UK Simulation Society. All rights reserved.Item Perceptually lossless coder for volumetric medical image data(Academic Press Inc. apjcs@harcourt.com, 2017) Chandrika, B.K.; Aparna., P.; Sumam David, S.S.With the development of modern imaging techniques, every medical examination would result in a huge volume of image data. Analysis, storage and/or transmission of these data demands high compression without any loss of diagnostically significant data. Although, various 3-D compression techniques have been proposed, they have not been able to meet the current requirements. This paper proposes a novel method to compress 3-D medical images based on human vision model to remove visually insignificant information. The block matching algorithm applied to exploit the anatomical symmetry remove the spatial redundancies. The results obtained are compared with those of lossless compression techniques. The results show better compression without any degradation in visual quality. The rate-distortion performance of the proposed coders is compared with that of the state-of-the-art lossy coders. The subjective evaluation performed by the medical experts confirms that the visual quality of the reconstructed image is excellent. © 2017Item A benchmark study of automated intra-retinal cyst segmentation algorithms using optical coherence tomography B-scans(Elsevier Ireland Ltd, 2018) Girish, G.N.; Anima, V.A.; Kothari, A.R.; Sudeep, P.V.; Roychowdhury, S.; Rajan, J.(Background and objectives) Retinal cysts are formed by accumulation of fluid in the retina caused by leakages from inflammation or vitreous fractures. Analysis of the retinal cystic spaces holds significance in detection and treatment of several ocular diseases like age-related macular degeneration, diabetic macular edema etc. Thus, segmentation of intra-retinal cysts and quantification of cystic spaces are vital for retinal pathology and severity detection. In the recent years, automated segmentation of intra-retinal cysts using optical coherence tomography B-scans has gained significant importance in the field of retinal image analysis. The objective of this paper is to compare different intra-retinal cyst segmentation algorithms for comparative analysis and benchmarking purposes. (Methods) In this work, we employ a modular approach for standardizing the different segmentation algorithms. Further, we analyze the variations in automated cyst segmentation performances and method scalability across image acquisition systems by using the publicly available cyst segmentation challenge dataset (OPTIMA cyst segmentation challenge). (Results) Several key automated methods are comparatively analyzed using quantitative and qualitative experiments. Our analysis demonstrates the significance of variations in signal-to-noise ratio (SNR), retinal layer morphology and post-processing steps on the automated cyst segmentation processes. (Conclusion) This benchmarking study provides insights towards the scalability of automated processes across vendor-specific imaging modalities to provide guidance for retinal pathology diagnostics and treatment processes. © 2017 Elsevier B.V.Item Segmentation of intima media complex from carotid ultrasound images using wind driven optimization technique(Elsevier Ltd, 2018) Yamanakkanavar, Y.; Madipalli, P.; Rajan, J.; Kumar, P.K.; Narasimhadhan, A.V.Cardiovascular diseases are the third leading cause of death worldwide. The primitive indication of the possible onset of a cardiovascular disease is atherosclerosis, which is the accumulation of plaque on the arterial wall. The intima-media thickness (IMT) of the common carotid artery is an early marker of the development of cardiovascular disease. The computation of the IMT and the delineation of the carotid plaque are significant predictors for the clinical diagnosis of the risk of stroke. For a robust diagnosis, carotid ultrasound images must be free from speckle noise. To address this problem, we use state-of-the-art despeckling and enhancement methods in this work. Many edge-based methods for IMT estimation have been proposed to overcome the limitations of manual segmentation. In this paper, we present a fully automated region-of-interest (ROI) extraction and a threshold-based segmentation of the intima media complex (IMC) using a wind driven optimization (WDO) technique. A quantitative evaluation is carried out on 90 carotid ultrasound images of two different datasets. The obtained results are compared with those of state-of-the-art techniques such as a model-based approach, a dynamic programming method, and a snake segmentation method. The experimental analysis shows that the proposed method is robust in measuring the IMT in carotid ultrasound images. © 2017 Elsevier LtdItem A novel feature extraction technique for pulmonary sound analysis based on EMD(Elsevier Ireland Ltd, 2018) Mondal, A.; Banerjee, P.; Tang, H.Background and objective: The stethoscope based auscultation technique is a primary diagnostic tool for chest sound analysis. However, the performance of this method is limited due to its dependency on physicians experience, knowledge and also clarity of the signal. To overcome this problem we need an automated computer-aided diagnostic system that will be competent in noisy environment. In this paper, a novel feature extraction technique is introduced for discriminating various pulmonary dysfunctions in an automated way based on pattern recognition algorithms. Method: In this work, the disease correlated relevant characteristics of lung sounds signals are identified in terms of statistical distribution parameters: mean, variance, skewness, and kurtosis. These features are extracted from selective morphological components of the mapped signal in the empirical mode decomposition domain. The feature set is fed to the classifier model to differentiate their corresponding classes. Results: The significance of features developed are validated by conducting several experiments using supervised and unsupervised classifiers. Furthermore, the discriminating power of the proposed features is compared with three types of baseline features. The experimental result is evaluated by statistical analysis and also validated with physicians inference. Conclusions: It is found that the proposed features extraction technique is superior to the baseline methods in terms of classification accuracy, sensitivity and specificity. The developed method gives better results compared to baseline methods in any circumstance. The proposed method gives a higher accuracy of 94.16, sensitivity of 100 and specificity of 93.75 for an artificial neural network classifier. © 2018 Elsevier B.V.Item A visual attention guided unsupervised feature learning for robust vessel delineation in retinal images(Elsevier Ltd, 2018) Srinidhi, C.L.; Aparna., P.; Rajan, J.Background and objective: Accurate segmentation of retinal vessels from color fundus images play a significant role in early diagnosis of various ocular, systemic and neuro-degenerative diseases. Segmenting retinal vessels is challenging due to varying nature of vessel caliber, the proximal presence of pathological lesions, strong central vessel reflex and relatively low contrast images. Most existing methods mainly rely on carefully designed hand-crafted features to model the local geometrical appearance of vasculature structures, which often lacks the discriminative capability in segmenting vessels from a noisy and cluttered background. Methods: We propose a novel visual attention guided unsupervised feature learning (VA-UFL) approach to automatically learn the most discriminative features for segmenting vessels in retinal images. Our VA-UFL approach captures both the knowledge of visual attention mechanism and multi-scale contextual information to selectively visualize the most relevant part of the structure in a given local patch. This allows us to encode a rich hierarchical information into unsupervised filtering learning to generate a set of most discriminative features that aid in the accurate segmentation of vessels, even in the presence of cluttered background. Results: Our proposed method is validated on the five publicly available retinal datasets: DRIVE, STARE, CHASE_DB1, IOSTAR and RC-SLO. The experimental results show that the proposed approach significantly outperformed the state-of-the-art methods in terms of sensitivity, accuracy and area under the receiver operating characteristic curve across all five datasets. Specifically, the method achieved an average sensitivity greater than 0.82, which is 7% higher compared to all existing approaches validated on DRIVE, CHASE_DB1, IOSTAR and RC-SLO datasets, and outperformed even second-human observer. The method is shown to be robust to segmentation of thin vessels, strong central vessel reflex, complex crossover structures and fares well on abnormal cases. Conclusions: The discriminative features learned via visual attention mechanism is superior to hand-crafted features, and it is easily adaptable to various kind of datasets where generous training images are often scarce. Hence, our approach can be easily integrated into large-scale retinal screening programs where the expensive labelled annotation is often unavailable. © 2018 Elsevier LtdItem Combined radiogrammetry and texture analysis for early diagnosis of osteoporosis using Indian and Swiss data(Elsevier Ltd, 2018) Areeckal, A.S.; Kamath, J.; Zawadynski, S.; Kocher, M.; Sumam David, S.Osteoporosis is a bone disorder characterized by bone loss and decreased bone strength. The most widely used technique for detection of osteoporosis is the measurement of bone mineral density (BMD) using dual energy X-ray absorptiometry (DXA). But DXA scans are expensive and not widely available in low-income economies. In this paper, we propose a low cost pre-screening tool for the detection of low bone mass, using cortical radiogrammetry of third metacarpal bone and trabecular texture analysis of distal radius from hand and wrist radiographs. An automatic segmentation algorithm to automatically locate and segment the third metacarpal bone and distal radius region of interest (ROI) is proposed. Cortical measurements such as combined cortical thickness (CCT), cortical area (CA), percent cortical area (PCA) and Barnett Nordin index (BNI) were taken from the shaft of third metacarpal bone. Texture analysis of trabecular network at the distal radius was performed using features obtained from histogram, gray level Co-occurrence matrix (GLCM) and morphological gradient method (MGM). The significant cortical and texture features were selected using independent sample t-test and used to train classifiers to classify healthy subjects and people with low bone mass. The proposed pre-screening tool was validated on two ethnic groups, Indian sample population and Swiss sample population. Data of 134 subjects from Indian sample population and 65 subjects from Swiss sample population were analysed. The proposed automatic segmentation approach shows a detection accuracy of 86% in detecting the third metacarpal bone shaft and 90% in accurately locating the distal radius ROI. Comparison of the automatic radiogrammetry to the ground truth provided by experts show a mean absolute error of 0.04 mm for cortical width of healthy group, 0.12 mm for cortical width of low bone mass group, 0.22 mm for medullary width of healthy group, and 0.26 mm for medullary width of low bone mass group. Independent sample t-test was used to select the most discriminant features, to be used as input for training the classifiers. Pearson correlation analysis of the extracted features with DXA-BMD of lumbar spine (DXA-LS) shows significantly high correlation values. Classifiers were trained with the most significant features in the Indian and Swiss sample data. Weighted KNN classifier shows the best test accuracy of 78% for Indian sample data and 100% for Swiss sample data. Hence, combined automatic radiogrammetry and texture analysis is shown to be an effective low cost pre-screening tool for early diagnosis of osteoporosis. © 2018 Elsevier LtdItem Multi-Modal Medical Image Fusion with Adaptive Weighted Combination of NSST Bands Using Chaotic Grey Wolf Optimization(Institute of Electrical and Electronics Engineers Inc., 2019) Asha, C.S.; Lal, S.; Gurupur, V.P.; Saxena, P.U.P.Recently, medical image fusion has emerged as an impressive technique in merging the medical images of different modalities. Certainly, the fused image assists the physician in disease diagnosis for effective treatment planning. The fusion process combines multi-modal images to incur a single image with excellent quality, retaining the information of original images. This paper proposes a multi-modal medical image fusion through a weighted blending of high-frequency subbands of nonsubsampled shearlet transform (NSST) domain via chaotic grey wolf optimization algorithm. As an initial step, the NSST is applied on source images to decompose into the multi-scale and multi-directional components. The low-frequency bands are fused based on a simple max rule to sustain the energy of an individual. The texture details of input images are preserved by an adaptively weighted combination of high-frequency images using a recent chaotic grey wolf optimization algorithm to minimize the distance between the fused image and source images. The entire process emphasizes on retaining the energy of the low-frequency band and the transferring of texture features from source images to the fused image. Finally, the fused image is formed using inverse NSST of merged low and high-frequency bands. The experiments are carried out on eight different disease datasets obtained from Brain Atlas, which consists of MR-T1 and MR-T2, MR and SPECT, MR and PET, and MR and CT. The effectiveness of the proposed method is validated using more than 100 pairs of images based on the subjective and objective quality assessment. The experimental results confirm that the proposed method performs better in contrast with the current state-of-the-art image fusion techniques in terms of entropy, VIFF, and FMI. Hence, the proposed method will be helpful for disease diagnosis, medical treatment planning, and surgical procedure. © 2013 IEEE.Item Automated Method for Retinal Artery/Vein Separation via Graph Search Metaheuristic Approach(Institute of Electrical and Electronics Engineers Inc., 2019) Srinidhi, C.L.; Aparna., P.; Rajan, J.Separation of the vascular tree into arteries and veins is a fundamental prerequisite in the automatic diagnosis of retinal biomarkers associated with systemic and neurodegenerative diseases. In this paper, we present a novel graph search metaheuristic approach for automatic separation of arteries/veins (A/V) from color fundus images. Our method exploits local information to disentangle the complex vascular tree into multiple subtrees, and global information to label these vessel subtrees into arteries and veins. Given a binary vessel map, a graph representation of the vascular network is constructed representing the topological and spatial connectivity of the vascular structures. Based on the anatomical uniqueness at vessel crossing and branching points, the vascular tree is split into multiple subtrees containing arteries and veins. Finally, the identified vessel subtrees are labeled with A/V based on a set of hand-crafted features trained with random forest classifier. The proposed method has been tested on four different publicly available retinal datasets with an average accuracy of 94.7%, 93.2%, 96.8%, and 90.2% across AV-DRIVE, CT-DRIVE, INSPIRE-AVR, and WIDE datasets, respectively. These results demonstrate the superiority of our proposed approach in outperforming the state-of-The-Art methods for A/V separation. © 1992-2012 IEEE.